78815
PET imaging for limited area
PET imaging for limited area is the #343 most-billed Medicaid procedure code, with $387.2M in payments across 807K claims from 2018–2024. The national median cost per claim is $325.10. Costs vary widely — the 90th percentile is $1,042.53 per claim, 3.2× the median.
Total Paid
$387.2M
0.04% of all spending
Total Claims
807K
Providers
1K
Avg Cost/Claim
$480
National Cost Distribution
How much do providers bill per claim for 78815? Based on 1K providers billing this code nationally.
Median
$325.10
Average
$447.90
Std Dev
$485.68
Max
$5,930.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.66 and $697.28 per claim for this code.
90% bill between $38.29 and $1,042.53.
Top 1% bill above $1,974.73.
About This Procedure
HCPCS code 78815 (PET imaging for limited area) was billed by 1K providers across 807K claims, totaling $387.2M in Medicaid payments from 2018–2024. This code was used for 724K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$325.10
Providers Billing
1K
National Spending
$387.2M
Avg/Median Ratio
1.38×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 78815
| # | Provider | Total Paid |
|---|---|---|
| 1 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $10.1M |
| 2 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $8.2M |
| 3 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $7.5M |
| 4 | 1851347272 | $7.2M |
| 5 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $6.8M |
| 6 | 1588954929 | $5.2M |
| 7 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $5.0M |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $4.9M |
| 9 | 1558575746 | $4.4M |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $4.4M |
| 11 | 1538157508 | $4.2M |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $3.9M |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $3.8M |
| 14 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $3.4M |
| 15 | 1780107797 | $3.4M |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $3.4M |
| 17 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $3.3M |
| 18 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $3.2M |
| 19 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $3.1M |
| 20 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $3.0M |
Showing top 20 of 1K providers billing this code